NPI age
20 years
Enumerated 2006-01-18
Across 5027 active internal medicine providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000800555E | |
| 01 (GA) | 582117020045 | TRICARE CERTIFIED |
| 01 (GA) | 582117020055 | TRICARE CERTIFIED |
| 05 (GA) | 000800555C | |
| 05 (GA) | 000800555D | |
| 05 (GA) | 000800555G | |
| 01 (GA) | 110211686 | RR MEDICARE-GRP # CC4177 |
| 01 (GA) | 2448449 | CIGNA |
| 05 (GA) | 000800555J | |
| 05 (GA) | 000800555M | |
| 01 (GA) | 10045921 | AMERIGROUP |
| 01 (GA) | 110029C048846 | TRAILBLAZER HEALTH ENTERPRISES |
| 01 (GA) | 11BDRZS | MEDICARE CAHABA GBA |
| 05 (GA) | 000800555B | |
| 01 (GA) | 582117020057 | TRICARE CERTIFIED |
| 01 (GA) | 0400503 | UNITED HEALTHCARE |
| 05 (GA) | 000800555F | |
| 05 (GA) | 000800555K | |
| 05 (GA) | 000800555N | |
| 01 (GA) | 340854 | WELLCARE |
| 01 (GA) | 110211686 | PALMETTO RAILROAD MEDICARE PART B |
| 01 (GA) | 52598478 | BCBS |
| 01 (GA) | 582117020 | TRICARE CERTIFIED |
| 01 (GA) | 783517 | ATENA |
| 05 (GA) | 000800555H | |
| 05 (GA) | 000800555I | |
| 05 (GA) | 000800555L | |
| 01 (GA) | 767999 | COVENTRY HEALTHCARE |
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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